Therapists in Comanche, TX

Photo of Stephanie Laize, Licensed Professional Counselor, LPC
Stephanie Laize
Licensed Professional Counselor, LPC
Online Only
I am a licensed professional counselor. As a Korean-born woman, I have a unique cultural background but was raised in France. I have made the U.S.-Mexico border my home for the past two decades. I am a very effective counselor because I have the inner gift to connect with my clients very quickly. This facilitates them to disclose a lot of information they have never shared with anyone. I treat many disorders, including depression, anxiety, codependence, trauma, dysfunctional childhood, marital issues, self-esteem, anger, bullying, stress, and career.
I am a licensed professional counselor. As a Korean-born woman, I have a unique cultural background but was raised in France. I have made the U.S.-Mexico border my home for the past two decades. I am a very effective counselor because I have the inner gift to connect with my clients very quickly. This facilitates them to disclose a lot of information they have never shared with anyone. I treat many disorders, including depression, anxiety, codependence, trauma, dysfunctional childhood, marital issues, self-esteem, anger, bullying, stress, and career.
(346) 788-1759 View (346) 788-1759
Photo of Brooke Marie Harris, Licensed Professional Counselor, MEd, LPC, CSC
Brooke Marie Harris
Licensed Professional Counselor, MEd, LPC, CSC
Serves Area
I am truly passionate about helping adolescents, adults, couples and families! I enjoy the challenge of working with a varied range of clients to help attend to their needs. Meeting people where they are emotionally and aiding them to feel more confident to address concerns and eventually optimize their lives is always my goal. I truly yearn to work myself out of a job with every client(s). Being part of a family's or individual's success and journey is the most rewarding part of my job!
I am truly passionate about helping adolescents, adults, couples and families! I enjoy the challenge of working with a varied range of clients to help attend to their needs. Meeting people where they are emotionally and aiding them to feel more confident to address concerns and eventually optimize their lives is always my goal. I truly yearn to work myself out of a job with every client(s). Being part of a family's or individual's success and journey is the most rewarding part of my job!
(254) 826-6094 View (254) 826-6094
Photo of Maria Pilotte, Licensed Professional Counselor, MS, LPC
Maria Pilotte
Licensed Professional Counselor, MS, LPC
Serves Area
Life can be beautiful, messy, overwhelming, and full of meaning—all at once. If you’re feeling stuck, anxious, disconnected, navigating life's transitions, dealing with emotional challenges, having deeper questions of purpose and identity, or simply in need of space to process and grow, I’m here to walk with you through it.
Life can be beautiful, messy, overwhelming, and full of meaning—all at once. If you’re feeling stuck, anxious, disconnected, navigating life's transitions, dealing with emotional challenges, having deeper questions of purpose and identity, or simply in need of space to process and grow, I’m here to walk with you through it.
(254) 663-3565 View (254) 663-3565
Photo of Brittany Miles Jacquote, Marriage & Family Therapist, LMFT
Brittany Miles Jacquote
Marriage & Family Therapist, LMFT
Online Only
My name is Brittany Miles Jacquote, but I go by Joyce. I am a licensed marriage and family therapist and a licensed chemical dependency counselor with eight years of clinical experience. I typically work with clients experiencing Family Conflict, Divorce, Relationship Issues, LGBTQIA+, and Marital/Pre-Marital issues. I utilize a variety of therapeutic modalities such as Clinical Supervision and Licensed, Family Therapy, Couples Therapy, Gottman Method, and Narrative therapies. I believe that goals are only practical if a client is entirely on board; therefore, goal setting is a collaborative process.
My name is Brittany Miles Jacquote, but I go by Joyce. I am a licensed marriage and family therapist and a licensed chemical dependency counselor with eight years of clinical experience. I typically work with clients experiencing Family Conflict, Divorce, Relationship Issues, LGBTQIA+, and Marital/Pre-Marital issues. I utilize a variety of therapeutic modalities such as Clinical Supervision and Licensed, Family Therapy, Couples Therapy, Gottman Method, and Narrative therapies. I believe that goals are only practical if a client is entirely on board; therefore, goal setting is a collaborative process.
(346) 572-9391 View (346) 572-9391
Photo of Laura J Adams, Licensed Professional Counselor, MS, LPC, LCDC
Laura J Adams
Licensed Professional Counselor, MS, LPC, LCDC
Serves Area
Sometimes the help we need goes beyond talking to a friend; we need professional guidance. The decision to begin counseling and find a therapist can be stressful. Fear can keep us from moving forward. We sabotage ourselves with behaviors that keep us from reaching our potential. Unlocking the potential in each person I counsel is my passion. I work to create a collaborative, comfortable and supportive environment. I specialize in addiction issues, relationship problems, anger management, resolution of trauma and abuse. I help guide my clients through the grief process from significant losses, e.g. death, job loss, and divorce.
Sometimes the help we need goes beyond talking to a friend; we need professional guidance. The decision to begin counseling and find a therapist can be stressful. Fear can keep us from moving forward. We sabotage ourselves with behaviors that keep us from reaching our potential. Unlocking the potential in each person I counsel is my passion. I work to create a collaborative, comfortable and supportive environment. I specialize in addiction issues, relationship problems, anger management, resolution of trauma and abuse. I help guide my clients through the grief process from significant losses, e.g. death, job loss, and divorce.
(254) 434-6183 View (254) 434-6183

More Therapists Nearby

Photo of Nazak Dadashazar - Dr Nazak, LPC-S @ Evolve Psychiatry, Licensed Professional Counselor, PhD, LPC-S, NCC, MBA
Dr Nazak, LPC-S @ Evolve Psychiatry
Licensed Professional Counselor, PhD, LPC-S, NCC, MBA
Serves Area
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(325) 757-8476 View (325) 757-8476
Photo of Rhonda Hoover - Rhonda Hoover, LPC-A @ Evolve Psychiatry, Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Rhonda Hoover, LPC-A @ Evolve Psychiatry
Licensed Professional Counselor Associate, MS, LPC-A, LCDC
Serves Area
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(325) 313-5369 View (325) 313-5369
Photo of Kari Homan Shannon, Licensed Professional Counselor, LPC
Kari Homan Shannon
Licensed Professional Counselor, LPC
Online Only
Hi, my name is Kari Homan Shannon, I'm a Licensed Professional Counselor, and I like to focus on the client and their needs. I have been in practice since 2007, addressing mostly depression, anxiety, PTSD, hoarding and trauma. My career has mostly been focused on depression, anxiety, PTSD, hoarding, and trauma. As mentioned earlier, I tend to like to get you up on your feet as quickly as possible while recognizing that each person will have their own pace and own preferences. We will do whatever you're comfortable with.
Hi, my name is Kari Homan Shannon, I'm a Licensed Professional Counselor, and I like to focus on the client and their needs. I have been in practice since 2007, addressing mostly depression, anxiety, PTSD, hoarding and trauma. My career has mostly been focused on depression, anxiety, PTSD, hoarding, and trauma. As mentioned earlier, I tend to like to get you up on your feet as quickly as possible while recognizing that each person will have their own pace and own preferences. We will do whatever you're comfortable with.
(346) 525-3180 View (346) 525-3180
Photo of Jackson Taylor, Clinical Social Work/Therapist, LCSW
Jackson Taylor
Clinical Social Work/Therapist, LCSW
Brownwood, TX 76801
In my practice, I’ve witnessed people of all ages find the ability to transcend the tragedy they found themselves in—no matter how impossible healing from their trauma, anxiety, depression, or addiction might've seemed. Through collaboration, I intend to help build reasonable goals and find the best steps for you to achieve them. I have worked as a therapist for kids of all ages in psych hospitals, in the foster care system, and in the juvenile system. I have also worked as a group substance abuse counselor with adults of all ages.
In my practice, I’ve witnessed people of all ages find the ability to transcend the tragedy they found themselves in—no matter how impossible healing from their trauma, anxiety, depression, or addiction might've seemed. Through collaboration, I intend to help build reasonable goals and find the best steps for you to achieve them. I have worked as a therapist for kids of all ages in psych hospitals, in the foster care system, and in the juvenile system. I have also worked as a group substance abuse counselor with adults of all ages.
(325) 757-8632 View (325) 757-8632
Photo of Patricia Cherry, Licensed Professional Counselor, LPC
Patricia Cherry
Licensed Professional Counselor, LPC
Online Only
Hello! I am Patricia (Patty) Cherry, a Licensed Professional Counselor in the state of Texas with over 39 years of clinical experience. I typically work with clients experiencing depression, anxiety and stress, adjustment issues, and grief. My primary approaches to therapy include Cognitive Behavioral Therapy, Client Centered Therapy, and Mindfulness based therapy. In addition, I do Christian counseling.
Hello! I am Patricia (Patty) Cherry, a Licensed Professional Counselor in the state of Texas with over 39 years of clinical experience. I typically work with clients experiencing depression, anxiety and stress, adjustment issues, and grief. My primary approaches to therapy include Cognitive Behavioral Therapy, Client Centered Therapy, and Mindfulness based therapy. In addition, I do Christian counseling.
(346) 589-6970 View (346) 589-6970
Photo of Chelsea Dickson - Chelsea Dickson, PMHNP @ Evolve Psychiatry, MSN, APRN, FNP-C, PMHNP
Chelsea Dickson, PMHNP @ Evolve Psychiatry
Verified Verified
Serves Area
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
(325) 413-2699 View (325) 413-2699
Photo of Brian E Hudspeth - Brian Hudspeth & Associates, MA, LPC, LCDC, SAP, Licensed Professional Counselor, MA, LPC, LCDC, SAP
Brian Hudspeth & Associates, MA, LPC, LCDC, SAP
Licensed Professional Counselor, MA, LPC, LCDC, SAP
1 Endorsed
Serves Area
Watching individuals work to be the best they can be is highly rewarding. I look forward to helping you unlock your potential and enjoy life to it's fullest! Sometimes when we are in our darkest times, we can't see beyond our current situation. However, the solution to even the most troubling issues is there to be found. Call me. I look foward to meeting with you!
Watching individuals work to be the best they can be is highly rewarding. I look forward to helping you unlock your potential and enjoy life to it's fullest! Sometimes when we are in our darkest times, we can't see beyond our current situation. However, the solution to even the most troubling issues is there to be found. Call me. I look foward to meeting with you!
(325) 261-0912 View (325) 261-0912
Photo of Tajha Lewis, Clinical Social Work/Therapist, LCSW
Tajha Lewis
Clinical Social Work/Therapist, LCSW
Online Only
Welcome! I am Tajha Lewis LCSW, LCDC, CGP, CCTP, a mental health professional with over 6 years in the field. I have worked with adult individuals with numerous concerns including substance abuse/dependency, grief and loss, women's issues just to name a few. My approach to therapy is empathic, compassionate, creative, non-judgmental, and client centered, yet direct and straightforward. I believe in treating everyone with respect and dignity. I utilize a Solution-Focused, Strength-based approach and incorporate Cognitive Behavioral Therapy, Motivational Interviewing, and other therapeutic modalities.
Welcome! I am Tajha Lewis LCSW, LCDC, CGP, CCTP, a mental health professional with over 6 years in the field. I have worked with adult individuals with numerous concerns including substance abuse/dependency, grief and loss, women's issues just to name a few. My approach to therapy is empathic, compassionate, creative, non-judgmental, and client centered, yet direct and straightforward. I believe in treating everyone with respect and dignity. I utilize a Solution-Focused, Strength-based approach and incorporate Cognitive Behavioral Therapy, Motivational Interviewing, and other therapeutic modalities.
(817) 835-8549 View (817) 835-8549
Photo of Nikita Tate-Casanova, Marriage & Family Therapist, LMFT
Nikita Tate-Casanova
Marriage & Family Therapist, LMFT
Online Only
Welcome. I am Dr. Nikita Tate-Casanova, Ph.D. and a licensed marriage and family therapist (LMFT) working with individuals, couples, and families across the lifespan. I am committed to caring for the whole individual and family including spiritual, emotional, and physical health in ways that are suited to each individual. I work with clients struggling with past and present trauma, anxiety, depression, spiritual concerns, couple conflict, mood disorders, cultural and ethnic issues, blended family issues, grief and end-of-life issues, phobias, and OCD.
Welcome. I am Dr. Nikita Tate-Casanova, Ph.D. and a licensed marriage and family therapist (LMFT) working with individuals, couples, and families across the lifespan. I am committed to caring for the whole individual and family including spiritual, emotional, and physical health in ways that are suited to each individual. I work with clients struggling with past and present trauma, anxiety, depression, spiritual concerns, couple conflict, mood disorders, cultural and ethnic issues, blended family issues, grief and end-of-life issues, phobias, and OCD.
(281) 801-4951 View (281) 801-4951
Photo of Tammy Westerman-Brito, Licensed Professional Counselor, LPC
Tammy Westerman-Brito
Licensed Professional Counselor, LPC
Online Only
Are you struggling with trauma from your past? I help with trauma stemming from childhood. I work with physical, sexual or emotional abuse that has been experienced. Together we can identify stuck points and work on resolving them. Whether you are dealing with trauma, anxiety, or depression, I’m here to help. Seeking therapy can be difficult but you are making the right choice. You deserve a safe place to heal and grow. Together we will work towards reaching your goals. I look forward to working with you
Are you struggling with trauma from your past? I help with trauma stemming from childhood. I work with physical, sexual or emotional abuse that has been experienced. Together we can identify stuck points and work on resolving them. Whether you are dealing with trauma, anxiety, or depression, I’m here to help. Seeking therapy can be difficult but you are making the right choice. You deserve a safe place to heal and grow. Together we will work towards reaching your goals. I look forward to working with you
(325) 648-0457 View (325) 648-0457
Photo of Abigail Lopez - Abigail Lopez, LPC @ Evolve Psychiatry, Licensed Professional Counselor, LPC, NCC
Abigail Lopez, LPC @ Evolve Psychiatry
Licensed Professional Counselor, LPC, NCC
Serves Area
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(325) 465-1338 View (325) 465-1338
Photo of Nimrat Bindra, Licensed Professional Counselor, LPC
Nimrat Bindra
Licensed Professional Counselor, LPC
Online Only
Welcome! My name is Nimrat Bindra and I am a Licensed Professional Counselor in the state of Texas with over 7 years of clinical experience. I work with individuals and couples to help with stress, anxiety, depression, coping with addictions, and trauma recovery. My theoretical orientation is individualized with a foundation of client-centeredness & strength-based psychology and incorporates modalities including Brainspotting, Positive Psychology, and Internal Family Systems.
Welcome! My name is Nimrat Bindra and I am a Licensed Professional Counselor in the state of Texas with over 7 years of clinical experience. I work with individuals and couples to help with stress, anxiety, depression, coping with addictions, and trauma recovery. My theoretical orientation is individualized with a foundation of client-centeredness & strength-based psychology and incorporates modalities including Brainspotting, Positive Psychology, and Internal Family Systems.
(972) 573-6578 View (972) 573-6578
Photo of Elida Perez, Clinical Social Work/Therapist, LCSW
Elida Perez
Clinical Social Work/Therapist, LCSW
Online Only
Life can be challenging and sometimes, these challenges can be overwhelming. My approach to therapy is first to create a safe space where a person can process their thoughts and feelings. I believe we all have strengths that have helped us cope throughout our lives. Sometimes, we just need a space where we can stop, reenergize and maybe even learn new skills.
Life can be challenging and sometimes, these challenges can be overwhelming. My approach to therapy is first to create a safe space where a person can process their thoughts and feelings. I believe we all have strengths that have helped us cope throughout our lives. Sometimes, we just need a space where we can stop, reenergize and maybe even learn new skills.
(832) 780-5802 View (832) 780-5802
Photo of Dawna Fulton, Licensed Professional Counselor Associate, LPC A
Dawna Fulton
Licensed Professional Counselor Associate, LPC A
Brownwood, TX 76801
Thank you for considering me to provide counseling/ therapy services to you or your loved one. My integrative approach will help you discover your authentic self, heal from past pain, and/ or gain skills to be successful in life’s endeavors. I believe therapy should be individualized and tailored to help the client.
Thank you for considering me to provide counseling/ therapy services to you or your loved one. My integrative approach will help you discover your authentic self, heal from past pain, and/ or gain skills to be successful in life’s endeavors. I believe therapy should be individualized and tailored to help the client.
(325) 465-1801 View (325) 465-1801
Photo of Olivia Sanchez, Licensed Professional Counselor, LPC
Olivia Sanchez
Licensed Professional Counselor, LPC
Online Only
Hi, My name is Olivia! I'm a Licensed Professional Counselor-Supervisor whose interest is in providing empathy and understanding to my clients in order to promote healing, happiness, and a state of calmness and peace. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) which is a trauma-based treatment to address more intense traumatic events that may have caused Post Traumatic Stress Disorder PTSD) or other various psychological conditions promoted by traumatic events.
Hi, My name is Olivia! I'm a Licensed Professional Counselor-Supervisor whose interest is in providing empathy and understanding to my clients in order to promote healing, happiness, and a state of calmness and peace. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) which is a trauma-based treatment to address more intense traumatic events that may have caused Post Traumatic Stress Disorder PTSD) or other various psychological conditions promoted by traumatic events.
(346) 591-0188 View (346) 591-0188

How does your Therapist compare?

Number of Therapists in Comanche, TX

< 10

Therapists in Comanche, TX who prioritize treating:

100% Relationship Issues
100% Depression
100% Coping Skills
100% Codependency
100% Marital and Premarital
80% Anxiety
80% Addiction

Average years in practice

11 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
75% Aetna
75% Cigna and Evernorth

How Therapists in Comanche, TX see their clients

60% In Person and Online
40% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Comanche?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.